REGISTERED SCHOOLS
Application to register an independent school
INSTRUCTIONS
This form is to be read in conjunction with the
 Guide to the minimum standards and other requirements for school registration.
 Guide to completing the application to register an independent school.
Complete this form if you are applying to register a new school for the 2016 school year.
This document is an electronic form. You can fill it out and save it as with any Microsoft Word document.
Some text in the document is locked and cannot be altered. Areas shaded in grey indicate where you can
enter text or select a check box. You can practise using the examples below.
Free text field
Tick box
About this application
There are six sections to this application:
Part A
School information including applicant details
Part B
Governance Information including details on the proprietor of the school
Part C
SECTION 1
Information to be forwarded by all applicants as evidence that the school
meets the minimum standards
SECTION 2
Information to be forwarded by schools proposing to offer a senior
secondary qualification, e.g. the VCE, VCAL or the IB Diploma
Part D
SECTION 1
Declarations
To be signed by all schools
SECTION 2
Declarations
To be signed by schools offering a senior secondary
qualification
Appendix 1
Declaration of good character – To be completed and signed by all relevant parties
Appendix 2
Attestation of school’s not-for-profit status – To be signed by the authorised declarant
1
Closing dates
The application must be received by the VRQA no later than close of business on the following gazetted
dates:
31 March 2015
30 June 2015
Acceptance of Application
The VRQA will only accept applications that are have all required evidence, are well organised and include
the Evidence Checklist.
Incomplete applications that do not have all required evidence are not well organised and do not include the
Evidence Checklist will not be accepted by the VRQA and will be returned to the applicant without being
assessed.
Payment of the application fee
The VRQA will acknowledge completed applications via an electronic invoice for the amount payable. This
must be paid in full before your application will be assessed.
The fees can be paid online by credit card (Mastercard or Visa), BPAY or by Postbillpay. To pay the fees
online, follow the instructions found on your invoice.
The VRQA cannot assess your application until the fee is paid and your application cannot be considered
valid until this is paid.
Notes
1
Applicants are required to inform the VRQA of any change to the particulars or information (including
accompanying documentation) provided in the application for registration within 14 days of the
relevant change.
2
An application for registration will not be assessed if there are outstanding compliance issues with
other sectoral registration(s) as a provider.
3
The VRQA works in cooperation with the Victorian Curriculum and Assessment Authority (VCAA)
when assessing applications for registration to deliver the VCE and/or VCAL.
Multiple registrations
Schools seeking registration as a registered training organisation (RTO) and/or to deliver courses to full feepaying overseas students in addition to school registration need to seek further advice from the VRQA’s
School and Senior Secondary Education Unit.
Commencement of operation
Under the Education and Training Reform Act 2006, a new school must not commence operation unless it
has been registered by the VRQA.
PRIVACY DISCLAIMER
All information collected in this application is required by State or Commonwealth legislation and associated
regulatory frameworks. Some information will be made available on the State Register. The Victorian
Registration and Qualifications Authority may share information about this application and your organisation
with other relevant agencies in accordance with the provisions of the Education and Training Reform Act
2006. All other information will be kept secure and confidential.
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
2
PART A – SCHOOL INFORMATION
A.1 School details
Please complete
Name of school
Street address, including any campuses
Postcode
Postal address
(if different from
above)
Postcode
Phone
Fax
Email
Email address for
invoices
Legal Entity Name1
Legal entity type
Incorporated association
Unincorporated association
Company limited by guarantee
Company limited by shares
Co-operative
Other
A.2 Principal details
Note: If this information is not available at the time of the application, details must be provided by the
applicant when they are known or before the school commences operation at the latest.
Full name of principal
Postal address
Postcode
Phone
Mobile
Fax
Email
1
Please note that invoices will be addressed to this name
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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A.3 Details of the contact person for this application
Full name of contact person
Position
Postal address
Postcode
Phone
Mobile
Fax
Email
A.4 Affiliation of the school
Religious or other affiliation (please specify)
A.5 Type of school (tick as appropriate)
Primary
Secondary
Co-educational
Single sex
Boys
Girls
Specific purpose*
Specialist*
*Refer to the Guide page 3 for definitions.
A.6 Proposed date of commencement
A.7 Year levels to be offered (e.g. P-6, 7-10)
Year/s
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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A.8 The age range and number of students to be enrolled in the campus at
the year levels for which the school is seeking registration.
Note: If this information is not available at the time of the application, details must be provided by
the applicant when they are known or before the school commences operation at the latest.
Year level
Age range
No. of students
e.g. Year 7
e.g. age 11 – 13.5 years
e.g. 17 students
Total no. students:
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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A.9 Senior Secondary: Units of Study at Year 10
If applying to add Year 10 in 2016, are you proposing to offer any Units of Study/Subjects at Senior
Secondary level, i.e. VCE, VCAL?
Yes
No
N/A
Tick as appropriate.
It is my intention to offer only a limited number of Senior Secondary Units of Study/Subjects at Year 10 in
2016 and not to amend my registration to offer Year 11 in 2017 and Year 12 in 2018 to deliver a full Senior
Secondary Qualification.
Please indicate the number of Units of Study/Subjects to be delivered in 2016:
It is my intention to amend my registration to deliver a full Senior Secondary Qualification at Year 11 and
Year 12 in 2017 and 2018.
Please indicate the number of Units of Study/Subjects to be delivered in 2016:
A.10 Existing registrations held by the applicant with the VRQA
RTO (TOId
)
Yes
No
Yes
No
Senior Secondary Provider – VCE
Yes
No
Senior Secondary Provider – VCAL
Yes
No
Senior Secondary Provider– IB Diploma
Yes
No
CRICOS Provider (No.
)
A.11 Other registrations the applicant is currently seeking with the VRQA
RTO
Yes
No
CRICOS Provider
Yes
No
Senior Secondary Provider
Yes
No
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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A.12 Premises
The premises are:
Owned
Rented
Length of lease
Name of landlord
Is there a relationship
between the school and
the landlord (other than
the lease agreement)?
No
Yes (please specify)
Office use only:
RTO: VRQA regulated
Yes
No
Checked
RTO: ASQA regulated
Yes
No
Checked
CRICOS Provider
Yes
No
Checked
Senior Secondary Provider
Yes
No
Checked
Office sign-off:
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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PART B – GOVERNANCE INFORMATION
B.1 Legal entity (proprietor) details
Full name of legal entity (proprietor)
Legal entity type
Company limited by guarantee
Company
Incorporated Association
Unincorporated entity
Other (please specify)
Postal address
Postcode
Phone
Mobile
Fax
Email
ACN
(if the proprietor is
an incorporated body)
ABN
B.2 Chair of the governing body
Note: If this information is not available at the time of the application, details must be provided by the
applicant when they are known or before the school commences operation at the latest.
Full name of the chair of governing body
Chair of governing body’s title
Postal address
Postcode
Phone
Mobile
Fax
Email
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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PART C – INFORMATION TO BE FORWARDED WITH APPLICATION
Applicants are required to forward documentation that provides evidence that they meet the minimum
standards for school registration. Pursuant to Part 4.3.1 (5) of the Education and Training Reform Act 2006,
the VRQA may require the applicant to provide further information or material in respect of the application
that the VRQA requires.
Applicants are advised to read the Guide to the minimum standards and other requirements for school
registration. This guide is designed to provide advice on the documentation that is required with this
application to meet the standards and requirements for registration. Listed below, are the items and evidence
which are to be forwarded with this application.
PART C is in two sections
SECTION 1
Information to be forwarded by all applicants
SECTION 2
Information to be forwarded by applicants proposing to offer a senior secondary qualification,
e.g. the VCE, VCAL or the IB Diploma.
SECTION 1 – Information to be forwarded by all applicants
1.
School governance
1.1
Democratic principles
The school must support and promote the principles and practice of Australian democracy in programs
and teaching.
 Please attach:
1.2
1.1a
a statement affirming the school’s adherence to the principles
1.1b
an explanation of how the school will communicate such a statement to staff, students, parents
and guardians and the school community.
Structure
The school governance structure must enable the school to develop its strategic direction, manage its
finances and fulfil its legal obligations.
 Please attach:
1.2a
an outline of the governing body’s structure and membership, including details of the
experience and expertise of the members of the Board, and the name and registered type of
the legal entity (where applicable)
1.2b
the company or association's constitution or rules of association which outline the structure
and legal obligations of the Board of the company or association
1.2c
the school’s governance charter, outlining the key functions and responsibilities of the
school board
1.2d
the school’s strategic plan
 Other evidence may include:
1.2e
policies relating to the operation, professional development, review and induction of the
governing body and its members.
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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In addition you are required to complete Schedule 1 on a separate spreadsheet
 Please complete Schedule 1
1.2f
Download Schedule 1
Note: this Schedule includes some items listed above
1.3
Probity
The proprietor, members of the school’s governing body and any principal of a non-government school must
be of good character and be able to carry out their responsibilities in relation to the operation of the school.
This clause also excludes some persons from undertaking these roles (refer to the Guide for advice).
 Please attach:
1.3a
the Declaration of good character contained in Appendix 1 for each proprietor, member of the
governing body and principal
1.3b
a summary of the qualifications and experience of each person
1.3c
a list of each person and his or her role, e.g. James Black, Chair of Governing Body.
Note: If this information is not available at the time of the application, details must be provided
by the applicant when they are known or before the school commences operation at the
latest.
1.4
Philosophy
The school must have a clear statement of its philosophy.
 Please attach:
1.5
1.4a
a copy of the school’s philosophy which includes the vision, mission, values and objectives of
the school
1.4b
an explanation of how the school’s philosophy is enacted.
Not-for-profit status
The school must be a not-for-profit school.
 Please attach a copy of:
1.5a
the school’s constitution
1.5b
the constitution of the legal entity or proprietor
1.5c
the Attestation of the school’s not-for-profit status (see Appendix 2).
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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2
Enrolment
2.1
Student enrolment numbers
A school must have a minimum enrolment of 20 students and, in addition, a secondary school must have an
average enrolment of 10 for each year level for which the school is registered. (Refer to page 7 of the Guide
for exceptions to this.)
Only students of compulsory school age are counted. Compulsory school age is from the ages of six to
seventeen. For the purposes of registration, five year old students turning six in the calendar year will be
counted in the minimum enrolment numbers.
There must be evidence in the form of the planned number of enrolments, as declared in the Application to
register a school, Part A.8.
 Please provide:
2.1a
the confirmed numbers (including names and date of birth for each student) to the VRQA as
soon as they become available.
Note: If this information is not available at the time of the application, details must be provided by
the applicant when they are known or before the school commences operation at the latest.
2.2
Enrolment policy
The school must have a clearly defined enrolment policy that complies with all applicable State and
Commonwealth law.
2.2a
Please attach a copy of the school’s enrolment policy which is consistent with all legal
requirements, and details of how it will be implemented.
Note: A school established by a particular religious denomination or by a group of religious
denominations may have an enrolment policy that gives preference to adherents of that religious
denomination/s or their children.
2.3
Register of enrolments
A register of enrolments must be maintained that contains for each student:
•
their name, age and address
•
the name and contact details of any parent or guardian
•
the date of enrolment
•
where applicable, the date the student ceased to be enrolled.
The register a school maintains may be paper-based or electronic.
 Please provide:
2.3a
a description and/or a proforma of the form that the proposed enrolment register will take
2.3b
the processes and procedures to ensure the register is up-to-date.
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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3
Curriculum and student learning
3.1 Curriculum framework (Do not complete if proposing to offer a senior secondary qualification
only – refer to section 2)
A curriculum framework must be in place for the organisation, implementation and review of the school’s
curriculum and teaching practices and to ensure that the learning areas are substantially addressed. (Refer
to the Guide page 8.)
 Please attach documentation which must include:
3.1a
an explanation of how appropriate time will be allocated across the eight learning areas
3.1b
an explanation of how and when curriculum and teaching practice will be reviewed
3.1c
an outline of how the school will deliver its curriculum, whether through the Australian
Curriculum, AusVELS or other approved curriculum programs, integrated programs or online
learning
3.1d
a whole-school curriculum plan showing how the curriculum will be organised.
 Other evidence may include:
3.2
3.1e
yearly curriculum program plans for each cohort of students
3.1f
an indication of how the eight learning areas will be addressed across the years of schooling.
Student learning outcomes
The school must have processes in place that enable it to plan for, and achieve improvement in, student
learning outcomes.
 Please attach:
3.2a
3.3
the school’s documented strategy to improve student learning outcomes. Such a strategy must
include statements of:

what data (such as National Assessment Program – Literacy and Numeracy
(NAPLAN) testing, senior secondary and On Track data) the school will collect to
monitor outcomes

how the school will analyse and use data to set goals and targets for outcomes,
including for students at risk

how the data will be analysed, used and reported. (Refer to page 9 of the guide for
further details.)
Monitoring and reporting on students’ performance
The school must ensure that there is ongoing assessment, monitoring and recording of each student’s
performance and provide each student and parent with access to accurate information about the
performance. Access to information must include at least two written reports to parents per year.
 Please attach:
3.3a
the school’s assessment and reporting policies and procedures, including how it will meet
Commonwealth Government student reporting requirements.
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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4
Student welfare
4.1
Care, safety and welfare of students
A school must ensure that the care, safety and welfare of students is in accordance with any applicable State
and Commonwealth laws.
Staff must be advised of their obligations under these laws.
 Please attach student welfare policies and procedures for:
4.1a
student welfare
4.1b
bullying and harassment, including cyber bullying
4.1c
management of complaints or grievances.
 Please attach student safety policies and procedures for:
4.1d
on-site supervision of students
4.1e
supervision of students when engaged in off-site activities and which includes consideration of
the risk of bushfire in the activity location
4.1f
ensuring the safety and welfare of students learning with an external provider, when the school
contracts with another school or RTO, or an organisation not registered as an education and
training provider (if relevant).
 Please attach student care documentation for:
4.1g
arrangements for ill students
4.1h
policy and procedures for the distribution of medicine
4.1i
anaphylaxis management policy containing matters required by Ministerial Order 706 and the
(associated) Anaphylaxis Guidelines issued by the Department of Education and Training
(DET). The website
http://www.education.vic.gov.au/school/teachers/health/Pages/anaphylaxisschl.aspx may
assist applicants to develop this plan.
4.1j
register of staff trained in first aid (a proforma is acceptable)
4.1k
records of student medical conditions and management (a proforma is acceptable).
 Please attach the school’s:
4.1l
mandatory reporting policy and procedures
4.1m
accidents and incidents register
4.1n
first aid policy and procedures
4.1o
internet use policy and procedures
4.1p
critical incident plan
4.1q
emergency management plan which must be reviewed at least annually and immediately after
any significant incident. (This must be site specific and include guidelines on emergency
bushfire management.)
 Please attach:
4.1r
evidence of how the school communicates policies and procedures on the care, safety and
welfare of students to staff, students, parents and the school community.
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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4.2
Emergency Bushfire Management
To confirm whether your school should be placed on the Bushfire At-Risk Register, contact
bushfires@edumail.vic.gov.au
For all schools
 Please attach evidence in the form of:
4.2a
a schedule for monitoring and removal of materials that may be easily ignited, including
branches overhanging buildings, debris and rubbish around and under buildings, including
gutters, and dry grass and vegetation
4.2b
procedures to ensure safe storage of flammable materials.
 Please attach evidence that:
4.2c
building exits will be continuously kept clear of obstructions
4.2d
assembly points are designated and have appropriate access to emergency equipment
4.2e
there is access to facilities and grounds for emergency vehicles
For all schools on the Bushfire-At-Risk Register extra procedures in addition to the above apply
 Please attach evidence of the school’s:
4.2f
Emergency Management Plan (EMP) that details the school’s response to managing bushfire
risk including:

closing the school on days declared Code Red

on non-Code Red days in the event of bushfire or elevated risk:
o maintaining a heightened state of readiness
o ensuring open lines of communication from local emergency services
o be prepared/on standby to enact their EMP by:

relocating students and staff to a nominated ‘shelter-in-place’ within
the school site that is compliant with relevant regulations, and/or

evacuating students and staff to an off-site safe area
o responding appropriately to instructions from emergency services.
 Please attach evidence of the school’s:
4.2g
provision of information on bushfire preparedness policy and procedures to staff (including
relief staff) and parents/guardians
4.2h
closure arrangements for Code Red days as per the school’s Emergency Management Plan
4.2i
training of staff with specific roles and responsibilities in preparing for, monitoring and
executing emergency bushfire procedures, including the effective operation of relevant
emergency equipment
4.2j
practice of evacuation procedures and drills at least once per term during the October- April
bushfire season. School evacuation drills must involve all students and staff moving to either a
nominated on-site ‘shelter-in-place’ or an off-site evacuation point as per the school’s
Emergency Management Plan
 Please attach evidence of:
4.2k
a register of bushfire emergency equipment, in working order, which may include water
systems and equipment; fire hydrants; hose reels and extinguishers; sprinkler systems;
alarms; first aid materials and medical equipment; fire blankets and communication systems.
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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 Please attach evidence of:
4.2l
notices of bushfire evacuation procedures and bushfire emergency contact numbers located
appropriately around the school.
 Please attach evidence that the school will maintain:
4.2m
a record of annual visitation or consultation with relevant local agencies, (the Country Fire
Authority, Metropolitan Fire and Emergency Services Board, local Council) on bushfire
preparedness and compliance with local bushfire regulation of buildings, facilities and grounds.
 Please attach evidence of:
4.2n
documentation certifying that any on-site ‘shelter in place’ is compliant with relevant agency
minimum standards.
4.3
Discipline
The school must provide its behaviour management policy and procedures, including policies in relation to
student engagement and the suspension or expulsion of students, together with an outline of how the school
will communicate these policies and procedures to the school community. These policies must be based on
principles of procedural fairness and must explicitly state that corporal punishment is not permitted.
 Please attach:
4.3a
a policy that explicitly states that corporal punishment is not permitted
4.3b
the school’s behaviour management policy and procedures which includes how the policy and
procedures ensure procedural fairness
an outline of how the school communicates these policies and procedures to the school
community (refer to the guide page 12 for further details).
4.3c
Such policies and procedures may, but will not necessarily, include:
4.4
•
an explanation of the school’s approach to discipline and how it ensures procedural fairness
•
procedures for suspension, expulsion and exclusion
•
procedures for imposing penalties
•
documentation and communication processes.
Attendance monitoring
Policy and procedures must exist to monitor daily attendance, identify absences from school or class, follow
up unexplained absences, and notify any parent or guardian regarding unsatisfactory attendance and record
unsatisfactory attendance information on student files.
 Please attach
4.4a
the school’s documented procedures to:
 check attendance at least twice per day
 monitor daily attendance and to identify absences from school or class
 follow up unexplained absences
 notify parents or guardians of unsatisfactory attendance
 record unsatisfactory attendance on each student’s file.
4.5
Attendance register
The school must maintain an attendance register of students and record in it each student’s attendance at
least twice per day as well as any reason (given or apparent) for a student’s absence.
 Please attach
4.5a
a copy of the school’s attendance register or, if it is in electronic form, an explanation of how
attendance will be recorded on the system.
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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5
Staff employment
5.1
Teachers’ requirements
All teachers employed to teach at the school must be registered or have permission to teach, and comply
with any conditions or limitations of that registration.
 Please attach:
5.1a
an indication of the number of teaching staff to be employed at the school
5.1b
a statement of intent to maintain a register containing each teacher’s name, academic
qualifications and their Victorian Institute of Teaching (VIT) registration number and VIT
category of registration (provisional registration, full registration, permission to teach) and the
expiry and renewal date of the teacher’s registration.
5.1c
the list of all teachers containing each teacher’s name, academic qualifications, their VIT
registration number and VIT category of registration (provisional registration, full registration,
permission to teach) and the expiry and renewal date of the teacher’s registration.
Note: If the information for the above item 5.1c is not available at the time of the application,
details must be provided by the applicant when they are known or before the school
commences operation at the latest.
5.2
Compliance with the Working with Children Act 2005
The requirements of the Working with Children Act 2005 must be complied with in respect of the employment
of all non-teaching staff at a school.
 Please attach:
5.2a
5.2b
5.2c
procedures to ensure that all staff required to do so by the Working with Children Act 2005
have a current Working with Children Check
a register of the Working with Children Check for all non-teaching staff (a proforma is
acceptable)
procedures for maintaining the register (refer to the Guide page 13 for further details).
6.
School infrastructure
6.1
Buildings, facilities and grounds
 Please attach a copy of the:
6.1a
permit to operate an education centre on site (in some cases, a certificate of continual use can
be provided in lieu of a planning permit)
6.1b
maintenance schedule for buildings, facilities and grounds
6.1c
occupational health and safety policy and procedures
6.1d
rental or lease arrangements (if applicable).
The items listed below must be provided by the applicant when they are known or, at the latest, before the
school commences operation.
 Please attach a copy of the:
6.1e
documentation showing that buildings and facilities comply with local planning regulations and
the Building Code of Australia, including a 9B occupancy certificate.
Note: If the school is on the Bushfire At-Risk Register [BARR] with an on-site ‘shelter-in-place,’
it must comply with the VRQA Guidelines for Registered Schools on Bushfire Preparedness.
6.1f
essential services register.
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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6.2
Educational facilities
The educational facilities of the school must be suitable for the programs offered by the school and the age
levels of the students.
 Please attach relevant documentation. Evidence must include:
6.2a
a plan of the school showing the location of facilities available for each program offered across
the school day.
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SECTION 2 – Information to be forwarded by schools proposing to offer a
senior secondary qualification, e.g. the VCE, VCAL or the IB Diploma
Accredited senior secondary qualification
Indicate which accredited senior secondary qualification you are applying to deliver. Authorisation to deliver
the VCE and VCAL from the VCAA will be processed as part of the application. Approval to deliver the IB
Diploma must be obtained by the applicant from the International Baccalaureate (IB).
Victorian Certification of Education (VCE)
Victorian Certificate of Applied Learning (VCAL)
International Baccalaureate Diploma (IB). Please attach IB approval.
Complete the following table for VCE units and/or VCAL strands. Attach additional table if required.
Name of Qualification / accredited VCE or VCAL qualification
Code / Unit No
VCE or VCAL
Title of VCE Unit or VCAL
strand
Total hours of
delivery per week
Total delivery in
hours
E.g EO01
VCE
English Unit
4.2 hours
60 Hours
Please add additional rows as required
Partnership
Will any part of the accredited course be delivered through a partnership arrangement?
No
Yes – please provide the name of the proposed partner organisation/s below.
Proposed partner organisations
Name of proposed partner organisation
Responsibilities of partner organisation – course to be delivered
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Information to be forwarded by schools proposing to offer a senior secondary qualification,
e.g. the VCE, VCAL or the IB Diploma – please refer to page 20 of the Minimum
Standards and other requirements for school registration guide
7
Student learning outcomes
A school must ensure that it deliver the course to the standard established by the awarding body for the
qualification and ensure that a student who satisfactorily completes all of the course requirements will be
entitled to be awarded the registration qualification
 Please attach:
8
7a
current student and staff handbooks and course outlines for the accredited qualification
7b
sample student learning sequences or plans for the accredited qualification
7c
procedures and documentation to indicate that staff and students have been provided with
current and accurate information about the awarding body’s requirements including course
standards, timelines and qualification requirements
7d
If the school shares responsibility for a senior secondary course with another provider, there
must be evidence of a copy of a written agreement between the providers stating how the
requirements of the student learning outcomes standard will be met.
Student records and results
A school must ensure that it has policies and procedures for senior secondary assessment, administration of
records and monitoring and analysis of results.
 Please attach a copy of:
9
8a
the policy and procedures for senior secondary assessment, administration of records and
monitoring and analysis of results to meet the requirements of the standard
8b
If the school shares responsibility for a senior secondary course with another provider, there
must be evidence of the written agreement between the providers stating how the
requirements of the student records and results standard will be met.
Student welfare
A senior secondary education provider must ensure that it has policies and procedures in place to provide
students with a safe environment and opportunities for students with special needs to access courses.
A senior secondary education provider must ensure that there are appropriate procedures in place for
students where two or more senior secondary education providers share responsibility for providing an
accredited senior secondary course.
 Please attach:
9a
an outline of how students with special needs will be provided with opportunities to access
the course
9b
If the school shares responsibility for a senior secondary course with another provider, there
must be evidence of a written agreement between providers stating how each manages its
legal responsibilities for students who attend the course, travel between providers or go on
excursions
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10
Teaching and learning
A senior secondary provider must ensure that it has competent and qualified staff to teach and assess the
course and to ensure there are suitable teaching resources and physical facilities to provide the course.
 Please attach a copy of:
10a
a register of teachers’ qualifications or the principal’s attestation of teachers’ qualifications
10b
a plan of the school showing the location of physical facilities to support the course
10c
an overview of teaching resources
10d
the policy and procedures to ensure the consistent application of assessment criteria and
practices and to oversee the conduct of assessments of the course.
10e
If the school shares responsibility for a senior secondary course with another provider, there
must be evidence in the form of a copy of a written agreement between the providers stating
how the requirements of the teaching and learning standard will be met.
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PART D – DECLARATION FOR NEW SCHOOLS
PART D is in two sections
SECTION 1
Declarations
To be signed by all applicants
SECTION 2
Declarations
To be signed by applicants offering a senior secondary qualification
Section 1 – To be completed by all applicants
Enrolment
The enrolment numbers provided in the Application to register a school are a true
and accurate record.
Yes
No
The school will maintain a register of enrolments that contains the following information in relation to each
student enrolled at the school:
a) the student’s name, age and address
Yes
No
b) the name and contact details of any parent or guardian of the student
Yes
No
c) the date of enrolment of the student
Yes
No
d) the date that the student ceases to be enrolled at the school (if applicable).
Yes
No
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Other requirements
Information on school’s performance to be available
1 Information concerning the school’s performance will be made available to the
community of the school at least once a year.
Yes
No
2 The information will include:
a) a description and analysis of student learning outcomes achieved by the school’s students
in statewide tests and examinations in which the school participates for:
(i) the current year
Yes
No
(ii) if the school has been established for more than 2 years, the
previous 2 years
Yes
No
b) a description and analysis of the rates of student attendance for the year
Yes
No
c) a report of the school’s financial activities
Yes
No
d) copies of any other reports that the school is required to prepare for
the school community under any funding agreements with the State
or the Commonwealth.
Yes
No
The school will comply with the requirements of the Education and Training
Reform Act 2006 and the Education and Training Reform Regulations 2007.
Yes
No
The school will comply with any condition imposed on its registration by or under
the Education and Training Reform Act 2006 or the Education and Training
Regulations 2007.
Yes
No
The school will have policies and procedures in place to enable it to comply
with the prescribed minimum standards for registration that are applicable
to the school.
Yes
No
Yes
No
Changing a school’s particulars
The principal of a registered school must notify the VRQA within 30 days of any
changes to specified details of a school.
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Declaration to be signed by person, or on behalf of the body, proposing to establish or
conduct the school
I declare the information contained in this application is true and correct.
Name
(Please print)
Position
Signature
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
Date
23
SECTION 2- To be completed only by applicants offering senior secondary
qualifications
Governance and probity
A school must ensure that its governing structure manages its responsibilities well in relation to senior
secondary provision. The evidence for this standard is addressed in the standard for a registered school
under School governance-Structure on page 9 of the Guide to the minimum standards and other
requirements for school registration. In addition:
The school will ensure that there are suitable arrangements in place:
a) to enable the school to respond to and supply any information requested by
the VRQA in regard to the probity of the provider
Yes
No
b) to enable the school to comply with any relevant guidelines issued
by the VRQA
Yes
No
c) to enable the VRQA to conduct an audit on the operation of the person,
body or school in relation to the minimum standards.
Yes
No
Ensure that if a senior secondary education provider is not the owner of an
accredited senior secondary course, that the provider is authorised by the owner
of the course to provide the course and complies with the conditions relating to
that authorisation.
Yes
No
The provider will not provide instruction in an accredited senior secondary course
unless the school is registered.
Yes
No
APPLICATION TO REGISTER A SCHOOL JANUARY 2015
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Declaration to be signed by person, or on behalf of the body, proposing to establish
or conduct the school
I declare the information contained in this application is true and correct.
Name
(Please print)
Position
Signature
Date
APPENDIX 1: DECLARATION OF GOOD CHARACTER
To be completed by the proprietor, all governing body members and the school principal. A principal means
a person appointed to the position as principal of a registered school or a person in charge of a registered
school (the Act section 1.1.3).
Note: If this information is not available at the time of the application, details must be provided by the
applicant when they are known or before the school commences operation at the latest.
Answer ALL the following questions by crossing the correct box. Then date and
sign the declaration.
Have you been found guilty of an offence which involved theft, dishonesty
or fraud?
Yes
No
Have you been found guilty of an indictable offence which is, or which would
if committed in Victoria be, an indictable offence?
Yes
No
Have you obtained education qualifications through dishonesty or assisted others
to obtain education qualifications through dishonesty?
Yes
No
Are you, or have you been subject to an order or a law disqualifying you from
being employed by or involved in managing a school?
Yes
No
Are you the subject of current disciplinary action in any professional
or occupational capacity?
Yes
No
Have you been the subject of disciplinary action in any professional
or occupational capacity that involved a finding of guilt?
Yes
No
(i) when not registered as a teacher as required under the laws
of the relevant country?
Yes
No
(ii) if registered as a teacher, contravened a condition, limitation
or restriction on which your registration was granted?
Yes
No
Have you ever engaged in teaching:
or
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Are you or have you ever been bankrupt or have you taken the benefit of any law
for the relief of bankrupt debtors, or compounded with your creditors or made an
assignment of your property for your benefit?
Yes
No
 If you answered ‘yes’ to any question, please provide further details on a separate sheet of paper
and attach it to this declaration.
DECLARED on the
day of
20
(Day, month and year)
by
(Name of person signing)
the
(Title of person signing)
with the authority of and for
and on behalf of
(Name of school)
X
(Signature of person
making the declaration)
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APPENDIX 2: ATTESTATION OF SCHOOL’S NOT-FOR-PROFIT STATUS
About this attestation
Under the Education and Training Reform Regulations 2007 (Regulations 2 and 7), a school must not be
established or conducted for the purpose of profit or gain if it:
•
was registered on or after 1 July 2007
•
was registered before 1 July 2007 and, on or after 1 July 2007, the registration of the school is
amended by the VRQA to include an additional campus or year level.
How to use this attestation
Complete this attestation if the school is applying to:
•
register for the first time
•
(if the school was registered before 1 July 2007) amend its registration by including an
additional campus or year level.
For further information, contact the VRQA on 03 9032 1546.
Definitions
The following definitions are used in this attestation.
‘Proprietor’ (in relation to a school) includes the governing body of the school.
‘Conduct’ of a school includes:
•
fund-raising activities conducted solely for the school
•
the provision of goods and services and other matters or things to students attending the school
•
the provision of other educational or similar services.
‘Entity’ includes a trust.
‘Prohibited agreement or arrangement’ means an agreement or arrangement that is made with an entity that
carries on business for profit or gain where:
•
the purpose of the agreement or arrangement is to pay or divert any profit or gain made in the
conduct of the school to that entity or any other entity (other than a payment made in good faith
for goods provided or services rendered to the school); or
•
the agreement or arrangement:
–
involves a payment by the school or the proprietor of the school for a purpose where
the payment is excessive compared to the charges, fees, rates or costs for the time being
prevailing in the community for payment for that purpose (other than a payment made in
good faith for that purpose); or
–
involves a gift, loan or similar payment by the school or the proprietor of the school
(other than deposits made to a bank in connection with the conduct of the school); or
–
involves a payment by the school or the proprietor of the school that is not a payment
made in good faith for goods provided or services rendered to the school.
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ABOUT THE SCHOOL’S NOT-FOR-PROFIT STATUS
Answer ALL the following questions by crossing the correct box.
1. Is the school established for the purpose of profit or gain?
Yes
No
Yes
No
Yes
No
Answer ‘No’ if the school is not established for the purpose of profit or gain as that
concept is explained in this application form and the Regulations. The constitution
or governing documents of the school must specify that its assets and income be
applied solely toward the conduct of the school.
2. Does the proprietor of the school conduct the school for the purposes of
profit or gain?
Answer ‘No’ if proprietor of the school does not conduct the school for the
purpose of profit or gain.
A proprietor of a school is not to be taken to conduct the school for the purpose of
profit or gain if the proprietor makes a financial surplus in the course of the proper
administration of the school.
3. Is any part of the profit or gain made in the conduct of the school
distributed to any entity?
Answer ‘No’ if no part of the profit or gain made in the conduct of the school is or
may be distributed to any entity.
A proprietor of a school is not to be taken to conduct the school for the purposes
of profit or gain if the proprietor makes a financial surplus in the course of the
proper administration of the school.
Continued on next page
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4. Is any money and property received by the school or the proprietor of the
school for the conduct of the school NOT applied solely towards the
conduct of the school?
Yes
No
Yes
No
Yes
No
Yes
No
Answer ‘No’ if all money and property received by the school or the proprietor of
the school for the conduct of the school is applied solely towards the conduct of
the school.
5. Is the proprietor of the school a party to a prohibited agreement or
arrangement?
Answer ‘No’ if the school’s proprietor is not a party to a prohibited agreement or
arrangement.
6. If the school is a non-government school, on the closure of the school
are any surplus assets of the school remaining after payment of the
school’s liabilities NOT required by the constitution or rules governing the
school to be:
•
used by the proprietor of the school for providing education
services to school-age children or for other not-for-profit
purposes
•
given to a not-for-profit entity operating within Australia that
provides education services to school children or that has
similar purposes to the proprietor?
or
Answer ‘No’ if the school is a non-government school, and on the closure of the
school, any surplus assets of the school remaining after payment of the school’s
liabilities are required by the constitution or rules governing the school to be:
•
used by the proprietor of the school for providing education
services to school-age children or for other not-for-profit purposes
•
given to a not-for-profit entity operating within Australia that
provides education services to school children or that has similar
purposes to the proprietor.
or
7. Did you answer ‘No’ to questions 1-6?
By answering ‘Yes’ to this question, you are confirming that the school for which
you are completing this attestation complies with the not-for-profit requirements of
the Regulations. If you answer ‘No’, it means your school does not comply with
the not-for-profit requirements.
Please complete the declaration on the next page.
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School’s not-for-profit status attestation statutory declaration
See information below regarding the Evidence (Miscellaneous Provisions) Act 1958
Date and sign the following statutory declaration.
I,
(Full name of declarant)
of
(Address of declarant)
do solemnly and sincerely declare that I acknowledge that the contents of this document are true and
correct and I make it in the belief that a person making a false declaration is liable to penalties of perjury.
Declared at
(Location of signing)
in the State of Victoria
This
day of
20
(Day, month and year)
I hereby confirm that the contents of this document are true and correct in every particular.
X
(Signature of declarant)
before me X
(Signature and authority
of authorised witness)
I hereby confirm that the board / committee / trustee of the school authorises the declarant to make this
statutory declaration and attach a copy of that authority.
X
(Signature of person
authorised by the school’s
board / committee / trustee)
(Authorised person’s office)
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Authorised persons
List of persons who may witness statutory declarations in Victoria




























a justice of the peace or a bail justice
a public notary
an Australian lawyer (within the meaning of the Legal Profession Act 2004)
a clerk to an Australian lawyer
the prothonotary or a deputy prothonotary of the Supreme Court, the registrar or a deputy registrar
of the County Court, the principal registrar or a registrar or deputy registrar of the Magistrates' Court
or the principal registrar or a registrar or deputy registrar of the Children’s Court
the registrar of probates or an assistant registrar of probates
the associate to a judge of the Supreme Court or of the County Court
the associate of an Associate Judge of the Supreme Court or of an associate judge of the County
Court
a person registered as a patent attorney under Chapter 20 of the Patents Act 1990 of the
Commonwealth
a police officer
the sheriff or a deputy sheriff
a member or former member of either House of the Parliament of Victoria
a member or former member of either House of the Parliament of the Commonwealth
a councillor of a municipality
a senior officer of a Council as defined in the Local Government Act 1989
a person registered under the Health Practitioner Regulation National Law to practise in the medical
profession (other than as a student)
a person registered under the Health Practitioner Regulation National Law — (i) to practise in the
dental profession as a dentist (other than as a student); and (ii) in the dentists division of that
profession
a registered veterinary practitioner within the meaning of the Veterinary Practice Act 1997
a person registered under the Health Practitioner Regulation National Law to practise in the
pharmacy profession (other than as a student)
a principal within the meaning of the Education and Training Reform Act 2006
the manager of an authorised deposit-taking institution
a person who holds a prescribed membership of a prescribed accounting body or association
the secretary of a building society
a minister of religion authorised to celebrate marriages
a Victorian Inspectorate Officer within the meaning of the Victorian Inspectorate Act 2011
a person employed under Part 3 of the Public Administration Act 2004 with a classification that is
prescribed as a classification to which this section applies or who holds office in a statutory authority
with such a classification
an IBAC Officer within the meaning of the Independent Broad-based Anti-corruption Commission Act
2011
a fellow of the Institute of Legal Executives (Victoria).
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